摘要
目的探讨小儿痰湿阻肺型肺炎患者采用温胆汤联合阿奇霉素治疗的效果。方法选取2016年7月至2018年4月在河南省儿童医院接受治疗的小儿痰湿阻肺型肺炎患者86例,根据随机数字表法分为观察组和对照组,每组43例。对照组采用阿奇霉素治疗,观察组采用温胆汤联合阿奇霉素治疗。比较两组症状评分、白细胞计数、C反应蛋白(CRP)及不良反应发生情况。结果观察组治疗后肺中小水泡音、痰鸣音、咳嗽、精神状态、食欲、舌苔评分低于对照组,差异有统计学意义(P<0.05);治疗后,观察组白细胞计数及CRP水平均低于对照组,差异有统计学意义(P<0.05);与对照组比较,观察组不良反应发生率较低,差异有统计学意义(P<0.05)。结论温胆汤联合阿奇霉素治疗可有效减轻小儿痰湿阻肺型肺炎患者的炎症反应,改善临床症状,且安全性高。
Objective To investigate the effect of Wendan decoction combined with azithromycin on children with phlegm-dampness obstructive pulmonary pneumonia. Methods Eighty-six children with phlegm-dampness obstructive pulmonary pneumonia treated in Henan Children’s Hospital from July 2016 to April 2018 were selected and divided into observation group and control group according to the random number table method, with 43 cases in each group. Patients in control group were treated with azithromycin, and patients in observation group were treated with Wendan decoction combined with azithromycin. Moreover, the symptom score, white blood cell count, C-reactive protein (CRP) and adverse reactions of the two groups were compared. Results The scores of small and medium-sized vesicle sound, phlegm sound, cough, mental condition, appetite and tongue coating in observation group after treatment were lower than those in control group, and the differences were statistically significant (P<0.05). After treatment, the white blood cell count and CRP level in observation group were lower than those in control group, and the difference was statistically significant (P<0.05). Compared with control group, the incidence of adverse reactions in observation group was lower, and the difference was statistically significant (P<0.05). Conclusions Wendan decoction combined with azithromycin can effectively reduce inflammation in children with phlegm-dampness obstructive pulmonary pneumonia and improve clinical symptoms with high safety.
作者
张素玲
Zhang Suling(Henan Children’s Hospital, Zhengzhou Children’s Hospital, Zhengzhou 450000, China)
出处
《中国实用医刊》
2019年第11期117-119,共3页
Chinese Journal of Practical Medicine
关键词
小儿肺炎
痰湿阻肺型
温胆汤
阿奇霉素
不良反应
Pediatric pneumonia
Phlegm-dampness pulmonary type
Wendan decoction
Azithromycin
Adverse reactions
